Table of Content

Archive

Winter 2009, Vol. 17 No. 4

Hong Kong J. Dermatol. Venereol. (2009) 17, 209-212


Case Report

Saving Private Rights: An unusual case of genital warts

M Maguire and S Lee 李啟焱

Abstract
A 72-year-old man presented with a 10-year history of phimosis. Circumcision revealed a large, warty mass on his glans. Biopsy demonstrated condyloma acuminata. Over one year they failed to respond to cautery, cryotherapy and topical imiquimod. Further biopsies confirmed that the lesion was histopathologically benign. Topical 5-fluorouracil (5-FU) was then commenced resulting in marked clinical improvement after two weeks, and apparent complete resolution at three months. One year later a small recurrence appeared and it again resolved with 5-FU. We report an unusual case of condyloma acuminata that highlights several important clinical, ethical and medico-legal considerations in the treatment and follow-up of such lesions.